Healthcare Provider Details

I. General information

NPI: 1821696436
Provider Name (Legal Business Name): INTERIM HEALTHCARE OF PITTSBURGH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2020
Last Update Date: 10/15/2020
Certification Date: 10/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2206 W 15TH ST
ERIE PA
16505-4510
US

IV. Provider business mailing address

2206 W 15TH ST
ERIE PA
16505-4510
US

V. Phone/Fax

Practice location:
  • Phone: 814-836-8836
  • Fax:
Mailing address:
  • Phone: 814-836-8836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: THOMAS J DIMARCO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 614-436-9404